Individual
DR. RYAN DAVID JEPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-4878
(605) 322-4820
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5369
NE
2085R0202X
Diagnostic Radiology Physician
Primary
7810
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7208643
—
SD
Enumeration date
05/03/2007
Last updated
10/17/2018
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